Organization
MBC CARE LLC DBA EMERALD HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELL ANNE CAPODANNO (OWNER)
(404) 694-1445
Entity
Organization
Contact information
Practice address
1917 KENSINGTON HIGH ST SW, LILBURN, GA 30047-2523
(404) 694-1445
(770) 686-3600
Mailing address
1917 KENSINGTON HIGH ST SW, LILBURN, GA 30047-2523
(404) 694-1445
(770) 686-3600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T1019
—
GA
05
—
TF1019
—
GA
05
—
U11019
—
GA
Enumeration date
04/30/2021
Last updated
05/05/2021
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